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Does PEG Use Cause Dysphagia in Head and Neck Cancer Patients
Dysphagia, 08/29/2011
Langmore S et al. – Results showed no difference in long–term percent weight change between the prophylactic Percutaneous endoscopic gastrostomy(PEG) patients vs. all others, or between patients who, during radiotherapy(RT), had oral diets vs. partial oral diets vs. nil per os(NPO). However, those who did not receive prophylactic PEGs and those who maintained an oral or a partial oral diet during RT had significantly better diet outcomes at all times post RT. Dependence on a PEG may lead to adverse swallowing ability in post–irradiated head and neck cancer patients possibly due to decreased use of the swallowing musculature.